Healthcare Provider Details

I. General information

NPI: 1699756171
Provider Name (Legal Business Name): ALEJANDRO FIGUEROA PA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 04/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6702 W BETHANY HOME RD SUITE 13,14, & 15
GLENDALE AZ
85303-4402
US

IV. Provider business mailing address

1250 SOUTH CLEARVIEW AVEUNE SUITE 100
MESA AZ
85209
US

V. Phone/Fax

Practice location:
  • Phone: 623-435-7000
  • Fax: 623-435-3947
Mailing address:
  • Phone: 480-988-9108
  • Fax: 480-813-4460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2545
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: